Laserfiche WebLink
r��,apr�, <br />cin oF <br />everett <br />259-8745 <br />C�NSTRUCTION <br />PERMIT <br />� <br />PERMIT NQ: _ � O � � � <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL '�J PLUMBING ❑ SIGN <br />�NMER MAIIADOilE55 GITY ZIP PMONE <br />c,,,riRo rnv_ 6� 0 Ev qreen Way Ever�tt 98203 353-4373 <br />ARCMITECTORDESIGNER MnILA0DqE5S CITY IIP PHONE <br />GENEMLCONTRACTOR MAILAOpRESS CITY ZIP PHONE LICENSEN <br />MECHANICALCONTRFCTOR MAILp0OqE55 CITY 21P PHONE LICENSE1r <br />PLUMBING CONTHACTOR MAIL A�DRESS CITY ZIP PHONE UCENSE M <br />[xuner N Trri23J0 <br />CLASS OF WONI( <br />❑ NEW ❑ ADDITION ❑ ALTEpATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION Of WORK <br />S <br />Add tiolet and lav. <br />MFATSpURLE <br />❑ ELECTf11CITY ❑ GAS <br />Ofiice <br />LOT _ BLOCK <br />6315 Fleming <br />PLUMBING <br />NO. TYPE OI <br />WA7ER CLOSET (T <br />BATHTUB <br />� LAVATORV�WASH <br />KITCHEN SINK 8 DISP. <br />DISMWASHER <br />LAUNDRVTRAV <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF ORAINS — RAINLEADERS <br />SINH �SERVICE — BAR. ETCJ <br />SI2E OF BLDG. <br />S.H. <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />LOT <br />NO.OF <br />PLANS CMECKED BV <br />S <br />i <br />❑ WOODSTOVE <br />FEE <br />=_s uNo <br />OF pWE�LING UNITS <br />APPfl.FORI55UANCEBY <br />❑ OTHEN <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER S?ECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHE.R <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONS'fRUCTION. <br />SIGNATURE OF CONTRACTOR, AUTHORIZED AGENT, Ofl OWNER DNTE <br />X <br />MECHANICAL <br />NO. � TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />flEFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVECOOLERS <br />CLO7HESDFVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN n[iooioo �� <br />SUB <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />DRIVEWAYPERMIT <br />VAIUATION FEE <br />$ <br />2� 0� <br />Sec. 304(e) <br />TOTAL I I 20�00 <br />PENMIT VALIDATION <br />WHEN PqOPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />r' <br />�` <br />M <br />O <br />N <br />ADDRESS FILE <br />